Student Signup Form

Important Trainer Note:

* Membership Type

NCH Student Member Free for 18 months Student membership is available to students currently enrolled in an NCH accredited training course.

* First & Last Name

* Your E-Mail Address

a confirmation email will be sent to you at this address

Title

Gender

Phone Number

Mobile Phone

Will NOT be made public

Training School

Select the NCH Approved Training School you are/have trained with.

Course Title

Title of Course Studied

Course Completion Date

Students, enter expected graduation date

* Course Type

Which type of course student undertaken

Physical classroom course
Virtual simultaneous course

Student Auth Code

NCH School Authorisation Code (For NCH Approved Training School Use Only)

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Address Information

* Street

* City

* ZIP Code

* Country

* State